非哺乳期乳腺炎微创手术与综合治疗的临床研究

Clinical Study of Minimally Invasive Surgery and Combined Therapy for Nonlactating Mastitis

目的:探讨非哺乳期乳腺炎的微创手术及综合治疗方法。方法:选取2006年-2009年本院就诊的非哺乳期乳腺炎病例80例,随机分组。炎性包块型组:①局部切除+灌洗组;②局部切除+灌洗+全身用药组;③局部切除+灌洗+局部封闭组;④局部切除+灌洗+局部封闭组+全身用药组;脓肿型组:①局部搔刮+灌洗组;②局部搔刮+灌洗+全身治疗组;③局部搔刮+灌洗+局部封闭组;④局部搔刮+灌洗+局部封闭组+全身用药组。随访时间6个月～2年。结果:除了综合治疗组(局部切除或搔刮+灌洗+局部封闭组+全身用药)没有复发,其余各组均有复发(平均复发率23.3%)。结论:综合治疗非哺乳性乳腺炎效果好,值得临床推广应用。

Objective To investigate non-lactating mastitis treated with minimally invasive surgery and comprehensive treatment. Methods 80 cases of non-lactation mastitis were selected from 2006 to 2009 in our hospital and randomly divided into eight groups. Inflammatory mass-based groups： ①local resection ＋ lavage group, ② local resection ＋ lavage ＋ systemic treatment group; ③local resection ＋ lavage ＋ local injection treatment group, ④ local resection ＋ lavage ＋ local injection ＋ systemic treatment group; abscess type groups： ① local scratch ＋ lavage group; ② local scratch ＋ lavage ＋ systemic treatment group; ③ local scratch ＋ lavage ＋ local injection group, ④ local scratch ＋ lavage ＋ local injection ＋ systemic treatment group. Followed up for 6 months-2 years. Results Except the combination therapy group （local resection or local scratch ＋ lavage ＋ local injection ＋ systemic medication） had not recurrence, other groups had recurrence （average recurrence rate was 23.3%）. Oonolusion Combination treatment of non-lactating mastitis is efficient.